Doctor : hi
Doctor : how can i help you?
User : Hello Doctor
Doctor : yes xxxxxx
User : I have a daughter with enlarged tonsils and also a funnel chest (pectus excavatum), she has sleep apneu too and ...
Doctor : ok
User : was wondering if this apnea could be the cause of the pectus excavatum ?
Doctor : details of your daughter
Doctor : age,
User : 4 years old, In her sleep, her chest sinks in quite a lot . . .
Doctor : ok
Doctor : was she born at full term?
User : Yes, 10 days past term actually.
User : xxxxxx 10/10
Doctor : ok
User : as she is an IVF child, pediatritians saw her at age 1 and 2,5
User : never saw anything like a pectus
Doctor : ok
User : but now, it seems to develop...
Doctor : Signs and symptoms of pectus excatum are
Doctor : Trouble breathing
Doctor : Difficulty with exercise or physical activity
User : Actually she only has trouble breathing at night, very much trouble, you see her ribs go in. During the day, she has lots of energy....
Doctor : Pectus excavatum is a congenital (present at birth) abnormality
Doctor : ok
User : Do you thing the difficult breathing could be caused by large tonsils, please ?
Doctor : yes there is probablity of that
Doctor : is she febrile?
User : Would you suggest taking her to a throat-nose-ear doctopr to maybe have them removed...
User : I don't understand the word febrile, sorry :(
Doctor : i mean fever
User : No, but at night, I see her sweat and sometimes wake up for a brief moment...
User : I guess that is the case when she can't get any air and wakes up because of it...
Doctor : that is more suggestive of sleep apnea
User : ok
Doctor : tonsilitis When left untreated, swollen tonsils can block normal breathing (airway obstruction), leading to sleep apnea
User : ok
Doctor : did you get that?
User : yes I did, I will take her to a doctor to have her checked and if necessary have her tonsils removed ?
Doctor : please fill this feed form and say when done
Doctor : is there any thing else that i can help you with?
User : No, thank you.
User : Bye
Doctor : thank you
User : (I felt in the form)
Doctor : sorry did not get that?
Doctor : bye